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Home My Public Portal About4903 MCCLINTOCK AVE_Building__ A ROAD DEPT, PERMIT IS• REOUIReb' FOR ANY MATERIAL,STORAGE OR WGR< DONE IN THE ROAD RIGHT OF WAY. 70ASSBA CIS 98080-Q, APPLICATION FOR BUILDING PERMIT- SS OF LOS :ANGELES BUILDING p R DEPARTMENT OF.COUNTY ENGINEER A°DREss - �.• p_ c/`+b, e Imo, BUILDING AND SAFETY DMSION LOCALIT JOHN A. LAMBIE,.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. O.c DISTRICT NO. GROUP TYPE PR CESSED BY FOR APPLICANT TO FILL IN ` I. „1.. I CONST. • •� BUILDING yy STATISTICAL CLASSIFICATION SEWER Nlf1P ADDRESS �0.7- a I e PG . CLASS.NODWELL.UNITS—l— LOT NO. PpACQ fe C_�I 'BL' CK MAPO� ST I I AT YES NO NUMBERWYE TRACT OjL USE ZONE. SPECIAL rr'' NO.OF BLDGS. CONDITIONS SIZE OF LOT .Z YX O I NOW ON LOT O .tt / USE OF L J die") �f Yrt- U EXISTING BLDG. 0 BUILDING EXIST. - SETBACK ' YARD •HWY r STREET NAME' WIDTH �j/� �• /� MAIL ER FRONT �c+_.7oXLw a C�-C ACI -leb ADDRESS//��" Q y SP.L. ho ' P. 2da}— V� CITY ..el) c` TNo• -9418 INSPECTION RECORD CJ ARCHITECT OR TEL. ft♦ ENGINEER NO. (7IG'• .. C ADDRESS TEL a %/l'Gr•'/.'' ,f•f t 1 L:�.ice/. �i�'e7� .r' CONTRACTOR 1 NO.U 1.4 11 W. ADDRESS e9iI D I ca Rel.. � DESCRIPTION OF WORK v-I, �.� f /, ;: ,0-�- ,i; %s'-�r'•''r . _ j f NEW fol. ADD ALTER REPAIR DEMOLISH SQ..FT. NO.-OF NO. OF s�J: //� SIZE STORIES 1 FAMILIES USE OF STRUCTURE �5 C Gtr.-rL .p r. �. GNATUOF OF /�- 4'/ `s•d -APPLICANT w APPROVAL'S DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION:LOCATION i y„ FORMS,MATERIALS VALUATION $ l° Q cn I FRAME:FIRE STOPS, • BRACING,BOLTS- .�r,y4r: :• n• .f/an�r o/. FURNACE:LOCATION, P.C. Q'O PMT. /J a� GAS VENT,DUCTS .9:41 £/ 'FEE $ � I FEE S .�I / / l 1 HEREBY'ACKNOWLEDGV THAT 1 HAVE.READ THIS AP- LATH,INT. PLICATION AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CO STRUCTION. LATH,EXT. './'G C) �.e»•-k�_.1�.'.�~v SIGNATURE OF /p HOUSE NUMBER COR- a PERMITTE a 1:(0 RECT'AND POSTED ADDRESS— FINAL 1111-7/0^7 CLYDE N. DDIIR�}LAM, RRIN61PAL STRUCTURAL ENGINEER o PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION •CK. M.O. CASH &.7.a 3.o� �. z 3 A. '2 1'.0 a }^ I('o7.. 4 4 3 iiAfl 8 1 .A 4 4•-0:0 :° Xr WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR ;BUILDING PERMIT � insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.210 770 Company_S1-a t- P C—nTnp Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS BUILDING i e 49 Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 4903 N. Mc Clintock 1/1/88 Pres; _ ` Date Applicant CIN ZIP LOCALITY CERTIFICATE OF EXEMPTION FROMO S' NO.OF BLDGS. NEAREST COMPENSATION INSURAN E SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one I ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL USE Z NE MAP OWNER Russell 818NO'.444-6651 41 --L 77 I certify that in the performance of the work for which this / NO. � 7 ~ � } permit is issued, I shall not employ any person in any manner !L r/ SPECIAL IL ADDRESS / CONDITIONS so as to become subject to the Workers'Compensation Laws. � Date Applicant CITMzip 91780 1119NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT ORpie City TEL. DISTRICT GROUP TYPE FIRE O SSED BY 0 Exemption, you should become subject to theWorkers' ENGINEER NO. CONST ZONE �� Compensation provisions of the Labor Code, you must forth- ADDRESS Ll" /! r with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. U) deemed revoked. CONTRACTOR Montebello Rfg NO 722»6975 LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that Pam licensed under provisions of Chapter 9 ADDRESS 868 Truck WaV NO.24885 2 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code,and my license is in full force and effect. CITY Mont bel In CLASS C-39 BK PG VALIDATION SQ. FT. NO.OF NO.OF CHECK License Nu er 948857 Lic.Closs Cs-39 SIZE STORIES FAMILIES ONE ' VALUATION Contracto to 8Z31/87 DESCRIPTION OF WORK. existingroof NEW ❑ $ 2464,00 I am exempt n ec. i=eroof W/ 19 sq 9«-C built ❑ Poo.-1117 rock _* ALTER ❑ B.BP.C. for this reason 2/12 REPAIR $ Date: EXISTING BLDG. dwellinq DEMOL ❑ Signature APPLICANT FINAL OWNER-BUILDER DECLARATION (PRINT)Montebello Rfg, 722-697 DAT 17 I hereby affirm that I am exempt from the Contractor's LicenseT Law for the following reason (Section 7031.5, Business and ADDRESS 868 Truck Wa FI Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY ' 7044, Business and Professions Code). MOVING TEL. I, as owner of the property,am exclusively contracting CONTRACTOR NO. 7 3 4,6 A with licensed contractors to construct the project (Sec- ADDRESS # o 0 0 0 0 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM T. CONSTRUCTION LENDING AGENCY SET BACK YARD Hy PROP. LINE WIDTH o - 59.25 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE i o o 0 5 9,2 5 6 'a PAPL Lender's Name 0626-87 LDMA Ref. # Lender's Address P.C.Fee$ Permit Fee ' r I certify that I have read this application and state that the Issuance Fee LDMA P/C# above information is correct..1 agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 59.25 LDnnA Perm. # and hereby authorize representatives of this County to enter upon the ove-mentioned property for inspection purposes. _ Pres 6/23/87 SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Ph nor Agent Date Oo COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0610180075 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 4902 IT: 9 BL: .001 SQ. FT STORIES TYPE 4903 MCCLINTOCK AV ,STRUCTURE: VN TEMP CA 917804104 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8574-024-030 ; THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 10/111/06 JK 10/13/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINADATE F BY: CODE: BALSER JEAN;RUSSELL THEODORA - 5,000 4903 MCCLINTOCK AV TEMP 917804104 FEES PAID DEMON OF WORK REP4CE 9 RETRO WINDOWS (SAME SIZE) FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: APPLICANT: TEL. NO: SONRISE WINDOWS (909) 797-4263- AA BLDG PERMIT ISSUANCE 27.75 34455 YUCAIPA BLVD. AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: YUCAIPA, CA 92399 D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SONRISE WINDOWS (909) 797-4263- 34455 YUCAIPA BLVD. STE #214 LIC. NO LOCATION AND SETBACKS YUCAIPA, CA 92399 763306 B SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: - FOUNDATION/TRENCH FORMS LIC. NO: SLAB UNDER FLOOR RAISAD FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDE FLOOR INSULATION 144H277 3 O1 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTF�IOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES t RATED SHAFTS/OPENINGS BT AR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: ES0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0507110026 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 4902 IT: 9 BL: .001 SQ. FT STORIES TYPE 4903 MCCLINTOCK AV STRUCTURE: 2000 VN TEMP CA 917804104 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8574-024-030 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 07/11/05 JK 07/06/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL TC/ BY: ODE: BALKER JEAN;RUSSELL THEODORA (626) 444-1684- 5,000 4903 MCCLINTOCK AV TEMP 917804104 FEES PAID DESCRIPTION OF WO TEAR OFF EXISTING MPOSITION ROOF RE-ROOF WITH 20 YEAR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMPOSITION HOUSE AND GARAGE APPLICANT: TEL. NO: MIRANDA (562) 762-5275- AA BLDG PERMIT ISSUANCE 27.75 215 W. POMONA BLVD. AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS: MONTEREY PARK 91755 D2 PERMIT W/O EN-HC 5000.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE AMERICAN HOME (562) 762-5275- 215 W. POMONA BLVD. #303 LIC. NO LOCATION AND SETBACKS MONTEREY PARK, CA 91780 804843 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLABAUNDER FLOOR RAIS�D FLOOR FRAMING I MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDEIMOOR INSULATION 144H277 3 01 1 FLOOD SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I i NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I SHEAF PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTEP.IOR LATH DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. I RATED WALL ASSEMBLIES I � RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 i